Provider Demographics
NPI:1962493775
Name:SCARTASCINI, RICARDO LUIS (MD)
Entity Type:Individual
Prefix:DR
First Name:RICARDO
Middle Name:LUIS
Last Name:SCARTASCINI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7309 HANOVER PKWY
Mailing Address - Street 2:SUITE A&B
Mailing Address - City:GREENBELT
Mailing Address - State:MD
Mailing Address - Zip Code:20770-2032
Mailing Address - Country:US
Mailing Address - Phone:301-982-0657
Mailing Address - Fax:
Practice Address - Street 1:7309 HANOVER PKWY
Practice Address - Street 2:SUITE A&B
Practice Address - City:GREENBELT
Practice Address - State:MD
Practice Address - Zip Code:20770-2032
Practice Address - Country:US
Practice Address - Phone:301-982-0657
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-11-01
Last Update Date:2012-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0037185207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDB93407Medicare UPIN